Individual
TRAVIS ROY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
22 BRAMHALL ST, PORTLAND, ME 04102-3134
(207) 662-0111
Mailing address
98 WESTMINSTER AVE, PORTLAND, ME 04103-2433
(207) 776-4214
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RNA203058
ME
Other
Enumeration date
06/04/2018
Last updated
09/25/2024
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